Rodderick Fredrick Booth - 12 Sep 2025 Form 3/A - Amendment Insider Report for Black Rock Coffee Bar, Inc.

Signature
/s/ Sam Seiberling, Attorney-in-Fact
Issuer symbol
BRCB on Nasdaq
Transactions as of
12 Sep 2025
Net transactions value
$0
Form type
3/A - Amendment
Filing time
06 Oct 2025, 17:39:52 UTC
Date Of Original Report
12 Sep 2025
Previous filing
15 Sep 2025

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Booth Rodderick Fredrick Chief Financial Officer C/O BLACK ROCK COFFEE BAR, INC., 9170 E. BAHIA DRIVE, SUITE 101, SCOTTSDALE /s/ Sam Seiberling, Attorney-in-Fact 06 Oct 2025 0002077880

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding BRCB Class B Common Stock 349,826 12 Sep 2025 Direct F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding BRCB LLC Units 12 Sep 2025 Class A Common Stock 349,826 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 This amendment is being filed to correct the number of LLC Units and corresponding shares of Class B Common Stock beneficially owned by the Reporting Person at the time of the original Form 3 filing. The error also carried forward to the Reporting Person's Form 4 filed on September 15, 2025. As reported herein, on September 12, 2025, the Reporting Person beneficially owned 349,826 LLC Units and shares of Class B Common Stock.
F2 The LLC Units may be redeemed by the Reporting Person at any time at the option of the holder for shares of Class A Common Stock on a 1-to-1 basis, and a corresponding number of shares of Class B Common Stock will be forfeited in connection with the redemption. The LLC Units have no expiration date.